ABSTRACT
INTRODUCTION Intracranial haemorrhage is a condition which may mandate emergency treatment during a pregnancy. There may be no warning that the mother is at risk of this complication in the course of her antenatal care excepting cases of pre-eclampsia which may require medical management to minimise risk. Although intracranial haemorrhage is uncommon in women with pre-eclampsia, when hypertension is managed suboptimally intracranial haemorrhage remains an important complication of pre-eclampsia (1). This chapter focuses on instances where there is a structural cause accounting for the haemorrhage and considers the practical management of acutely raised intracranial pressure as well as intervention to secure a bleeding vascular abnormality or aneurysm during pregnancy. It is now best practice to make these decisions as part of a neurovascular multidisciplinary team which should include specialist neurovascular surgeons and interventional neuroradiologists. The reader may wish to refer to chapters 2, 6, 16 and 17 for related topics.
